Individual provider Active NPI

Debora Dantas Guimaraes, L.I.C.S.W.

  • Clinical Social Worker
  • Woburn, MA
National Provider Identifier
1033410071
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119071 Issued in MA
Practice address
10 Cedar St Ste 34
Woburn, MA 01801-6365
Phone
(857) 251-2676
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119071 MA Primary

Addresses

Primary practice location

10 Cedar St Ste 34
Woburn, MA 01801-6365

Mailing address

10 Cedar St
Woburn, MA 01801-6364
Phone (857) 251-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119071MAMDClinical Social Worker

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13317/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1033410071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016364",
            "telephone_number": "857-251-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CEDAR ST STE 34",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016365",
            "telephone_number": "857-251-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIMARAES",
        "first_name": "DEBORA",
        "middle_name": "DANTAS",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2023-02-27",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.